Lembar kerja Keperawatan klinis dengan jawaban

Stridor, a harsh noise heard mainly on breathing in, is a sign of:

1. AMild constipation
2. BNarrowing or obstruction of the upper airway
3. CFluid collecting in the bases of both lungs
4. DNormal breathing during sleep

Hypothermia in an adult is usually defined as a core body temperature below:

1. A36,5 °C
2. B35 °C
3. C37 °C
4. D38 °C

A wheeze heard on chest auscultation is caused by:

1. AThe pleural layers rubbing together
2. BFluid in the alveoli
3. CFluid collecting in the pleural space
4. DAir flowing through narrowed airways

Which finding with a groin hernia needs urgent surgical review?

1. AThe lump has become painful and tender and cannot be pushed back
2. BThe lump gets bigger when the patient coughs
3. CThe lump has been present for several years without pain
4. DThe lump disappears completely when the patient lies down flat

Which of these is one of the "4 Hs", the reversible causes of cardiac arrest?

1. AHyperventilation
2. BHyperthyroidism
3. CHypertension
4. DHypoxia

Skor NEWS2 seorang pasien naik menjadi 7. Apa respons yang tepat?

1. AMencatat skor, meningkatkan observasi, dan menunggu visite bangsal pagi
2. BMemberikan sedatif dan memeriksa ulang nanti
3. CPenilaian darurat oleh tim klinis dengan keterampilan perawatan kritis
4. DMelanjutkan observasi setiap 12 jam

Pengkajian keperawatan mana yang paling membantu mendeteksi perburukan dini pada pasien setelah operasi besar?

1. AHanya menanyakan apakah pasien merasa baik
2. BObservasi lengkap secara teratur dengan skor peringatan dini dan peninjauan tren
3. CMengukur suhu sekali sehari
4. DMemeriksa luka hanya saat pemulangan

Which route and site are recommended for the first dose of adrenaline (epinephrine) in anaphylaxis on a ward?

1. AOral tablet dissolved under the tongue
2. BIntramuscular injection into the anterolateral thigh
3. CSubcutaneous injection into the upper arm
4. DIntravenous bolus given by the nurse without monitoring